Active NPI
Trevor Klemp, PT, DPT
- Physical Therapist
- Providence, RI
National Provider Identifier
1558056317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1368121
- Practice address
- 1 Corliss Park
Providence, RI 02908-1733 - Phone
- (401) 213-1996
- NPI assigned
- Apr 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT04057 | RI | |
| Physical Therapist | 225100000X | 1368121 | TX | Primary |
Addresses
Primary practice location
1 Corliss Park
Providence, RI 02908-1733
Mailing address
1 Corliss Park
Providence, RI 02908-1733
Phone (401) 213-1996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT04057 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Behavior Therapy | Physical Therapist | Current | Accepting new patients |
Locations
4131 Spicewood Springs Rd
Ste K2
Austin, TX 78759
Phone (512) 200-2792
119 Cimarron Park Loop
Ste A
Buda, TX 78610
Phone (512) 200-2792
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1558056317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CORLISS PARK",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029081733",
"telephone_number": "401-213-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CORLISS PARK",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029081733",
"telephone_number": "401-213-1996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEMP",
"first_name": "TREVOR",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-07",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT04057",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1368121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.